Face-to-face versus 360° VR video: a comparative study of two teaching methods in nursing education.

BACKGROUND: The practical sessions during skills laboratory simulation or clinical simulation are cores of nursing education. For this, different modalities have been devised to facilitate psychomotor skills learning. One of the commonly used educational material or instructional method to supplement skills learning across various disciplines is video-based teaching method. The opportunities of traditional two-dimensional video might be limitless and maximized with 360º virtual reality (VR) video, which offers immersive experience. This study incorporates 360º VR video into skills laboratory training as an alternative approach to face-to-face procedure demonstration. METHODS: An open-label, parallel (1:1), randomized controlled trial study was conducted among third-year undergraduate nursing students at Hiroshima University, Japan. The nursing students were block-randomized into 360º VR video and face-to-face demonstration group. After a 3-hour theoretical class of patient management on ventilator and closed-suction principles of mechanically ventilated patients in an Intensive Care Unit focused class, the 360º VR group watched the 360º VR video of closed tracheal suction (including oral) using the head-mounted display of Meta Quest 2 individually, while the face-to-face group attended the instructor's demonstration. A week after the skills laboratory, the students' psychomotor skills, knowledge, satisfaction, confidence were evaluated; the 360º VR video group's perception was explored; Wilcoxon rank-sum test was used to compare the two groups. RESULTS: A total of 57 students were analyzed; 27 students in the 360º VR video group and 30 students in face-to-face group. There were no statistically significant differences between both groups in skills, knowledge, and confidence. However, the face-to-face group had higher satisfaction level than the 360º VR group; this difference was statistically significant. In the 360º VR video group, 62% agreed that VR makes learning more interesting; more than half of students (62.5%) experienced VR sickness symptoms, and "feeling of drunk" is the highest. The students appreciated the ready to use, immersiveness, and realism; however, symptoms and discomfort, burdensomeness, and production limitations were improvements recommended. CONCLUSION: Although face-to-face demonstration is the established method of teaching psychomotor skills to nursing students, the use of 360º VR video could achieve similar learning effect as an alternative approach.

Shared decision-making for women facing an unplanned pregnancy: A qualitative study.

This study aimed to explore the competencies of health care practitioners who promote shared decision-making (SDM)-based care for women facing an unplanned pregnancy in Japan. We conducted semistructured interviews with 12 care providers who are pioneers in care for women facing an unplanned pregnancy and adopted a modified grounded theory approach for data analysis. A three-step model for shared decision making in practice (team talk, option talk, and decision talk) was used as a reference. The answers given by the care providers were analyzed to identify the competencies involved in shared decision making. We identified three stages: (i) building trust and promoting women's expression; (ii) discussing women's real needs; and (iii) exploring the intentions and goals expressed by women and finding the best choices while promoting women's autonomy in decision-making. The coordination between the support of partners, families, and professionals, and the care provided to strengthen women's identities facilitated shared decision making. Women facing an unplanned pregnancy can benefit from interventions designed to improve shared decision making. A key component of shared decision making-based care relates to practitioners' raised awareness toward their roles and responsibilities: developing good communication skills and fostering collaboration between all stakeholders.

Experiences of civilian nurses in triage during the Iran-Iraq War: An oral history.

PURPOSE: Nurses played a critical role in performing triage during the Iran-Iraq War. However, their experiences in triage have not been discussed. Therefore, the current study aimed to investigate the triage experiences of civilian nurses during the Iran-Iraq War. METHODS: Oral history method and in-depth interviews were used to collect data to gain the nurses' experiences in triage. RESULTS: Four themes were extracted from the data, which were the development of triage, challenging environment to perform triage, development of mobile triage teams, and challenges of triage chemical victims for nurses. CONCLUSION: Triage is an important skill for nurses to manage critical situations such as disasters and wars. Nurses have to be competent in performing triage. Involvement in critical situations helps the nurses learn and gain more experience on how to manage unexpected events.

Disaster health after the 2011 great East Japan earthquake.

INTRODUCTION: The March 11, 2011 disaster was unparalleled in the disaster history of Japan. There is still enormous effort required in order for Japan to recover from the damage, not only financially, but psychosocially. This paper is a review of the studies that have been undertaken since this disaster, from after the March 11th disaster in 2011 to the end of 2012, and will provide an overview of the disaster-health research literature published during this period. METHODS: The Japanese database Ichushi Ver. 5 was used to review the literature. This database is the most frequently used database in Japanese health-sciences research. The keywords used in the search were "Higashi Nihon Dai-shinsai" (The Great East Japan Earthquake). RESULTS: A total of 5,889 articles were found. Within this selection, 163 articles were categorized as original research (gencho ronbun). The articles were then sorted and the top four key categories were as follows: medicine (n = 98), mental health (n = 18), nursing (n = 13), and disaster management (n = 10). Additional categories were: nutrition (n = 4), public health (n = 3), radiology, preparedness, and pharmacology (n = 2 for each category). Nine articles appeared with only one category label and were grouped as "others." CONCLUSION: This review provides the current status of disaster-health research following the Great East Japan Earthquake. The research focus over the selected period was greatly directed towards medical considerations, especially vascular conditions and renal dialysis. Considering the compounding factors of the cold temperatures at the time of the disaster, the geography, the extensive dislocation of the population, and the demographics of an aging community, it is noteworthy that the immediate and acute impact of the March 11th disaster was substantial compared with other events and their studies on the impact of disaster on chronic and long-term illness. The complexity of damage caused by the earthquake event and the associated nuclear power plant event, which possibly affected people more psychologically than physically, might also need to be investigated with respect to long term objectives for improving disaster preparedness and management.

What was the role of nurses during the 2011 great East earthquake of Japan? An integrative review of the Japanese literature.

BACKGROUND: An earthquake and tsunami hit the east coast of Japan on March 11, 2011. Nurses were actively involved in the health response to this disaster and, subsequently, many authors have reported on the role nurses played in these efforts in Japanese nursing professional journals. Aim To describe the role of nurses who assisted in the 2011 Great East Earthquake of Japan by reviewing Japanese literature and reporting the findings in English. METHOD: This research used an integrative literature review methodology. Manuscripts were obtained from the Japanese database Ichushi Ver. 5 (Japan Medical Abstracts Society, Tokyo, Japan). A total of 44 manuscripts were identified and included in a thematic analysis. RESULTS: Three main themes were identified: (1) nursing roles, (2) specialized nursing roles, and (3) preparedness education. Nurses fulfilled different roles in the period after the disaster (ie, as a clinician, a communicator, a leader, and a provider of psychosocial support). Additionally, the specialized nurse role was identified, along with the need for preparedness education to support the nurse's role in a disaster. CONCLUSION: The understanding of the role of nurses in disasters is expanding. There is a need to further explore the roles of specialized nurses in disasters. Further disaster education opportunities should be available as a part of continuing education for all nurses. Radiation aspects of disaster assistance should be included in disaster education programs where there are radio-nuclear hazards present in the environment.

Medical relief for the 2011 Japan earthquake: a nursing account.

In 2011 the east coast of Japan experienced a massive earthquake which triggered a devastating tsunami destroying many towns and killing over 15 000 people. The work presented in this paper is a personal account that outlines the relief efforts of the Humanitarian Medical Assistance team and describes the efforts to provide medical assistance to evacuees. The towns most affected had a large proportion of older people who were more likely to have chronic conditions and required medication to sustain their health. Since personal property was destroyed in the tsunami many older people were left without medication and also did not remember which type of medication they were taking. Some evacuees had brought a list of their medication with them, this assisted relief teams in obtaining the required medication for these people. The more successful evacuation centers had small numbers of evacuees who were given tasks to administer the center that kept them occupied and active.

Lived Experiences of the Patients with COVID-19: A Hermeneutic Phenomenology.

Introduction: The COVID-19 pandemic is a considerable challenge for infected patients who require more attention for recovery. Therefore, this study aimed to explore the lived experience of patients with COVID-19. Methods: This qualitative, hermeneutic phenomenological study was conducted in the southeast of Iran from March to May 2020. The data were purposefully collected from 16 patients with COVID-19. Data were collected using in-depth semi-structured telephone interviews and analyzed using the Van Manen method. Results: The lived experiences of patients were categorized into five themes, including incredible clinical symptoms of COVID-19, horror and stigma, bad memories of hospitalization, trust in God and hope as recovery agents from COVID-19, and reborn after recovery from COVID-19. Conclusion: Patients with COVID-19 have experienced variety of physical and psychosocial challenges. Health care providers have to supply appropriate strategies to fulfill the infected patients needs in such a crisis.

Strategies for Strengthening the Resilience of Public Health Systems for Pandemics, Disasters, and Other Emergencies.

OBJECTIVE: The aim of this study was to identify and prioritize strategies for strengthening public health system resilience for pandemics, disasters, and other emergencies using a scorecard approach. METHODS: The United Nations Public Health System Resilience Scorecard (Scorecard) was applied across 5 workshops in Slovenia, Turkey, and the United States of America. The workshops focused on participants reviewing and discussing 23 questions/indicators. A Likert type scale was used for scoring with zero being the lowest and 5 the highest. The workshop scores were analyzed and discussed by participants to prioritize areas of need and develop resilience strategies. Data from all workshops were aggregated, analyzed, and interpreted to develop priorities representative of participating locations. RESULTS: Eight themes emerged representing the need for better integration of public health and disaster management systems. These include: assessing community disease burden; embedding long-term recovery groups in emergency systems; exploring mental health care needs; examining ecosystem risks; evaluating reserve funds; identifying what crisis communication strategies worked well; providing non-medical services; and reviewing resilience of existing facilities, alternate care sites, and institutions. CONCLUSIONS: The Scorecard is an effective tool for establishing baseline resilience and prioritizing actions. The strategies identified reflect areas in most need for investment to improve public health system resilience.

Literature review of disaster health research in Japan: focusing on disaster nursing education.

INTRODUCTION: Japan has a long history of disaster due to its location on the "Pacific Ring of Fire." The frequency of earthquakes experienced in recent years has had significant influence on disaster health research in Japan. This paper describes disaster health research trends in Japan, with an emphasis on disaster nursing research. METHOD: A systematic literature review of disaster health research in Japan from 2001 through 2007 was conducted for this study. The most commonly used database in Japan, Ichushi (version 4.0), was used for this literature review. The keywords and sub-keywords used were: disaster, disaster nursing, practice, education, ability, response, emergency, licensure, capability, function, prevention, planning and research. These keywords were sometimes used in combination to identify relevant literature. RESULTS: A total of 222 articles were reviewed. The number of research papers available increased gradually from 2001 through 2007. The most common articles used were found using the search category of "disaster nursing and research." Among the search categories, "disaster nursing and education" also had a high number of publications. This category also peaked in 2007. CONCLUSION: The recent experiences of natural disaster in Japan accelerated the impetus to explore and implement a disaster nursing concept into practice and nursing curricula. Further evidence-based studies to develop methodology and other areas of studies in disaster nursing, including other language databases are to be expected in the future.

Celebrating the end of school life: a pilot study.

INTRODUCTION: Celebrating the end of secondary schooling ("Schoolies Festival") is an established part of the school culture in Australia, with thousands of young students converging at beachside locations to celebrate this rite of passage. The aim of this study was to identify what young people believe is important to remain safe and healthy at this mass-gathering event. METHODS: This study was conducted using postcard surveys requesting demographic data and responses to the questions: (1) What do you think is important to stay safe and healthy at this event?; (2) What do you think is risky attending this event?; (3) Which of these is most likely to affect you at this event?; and (4) Where would you seek medical support? The surveys were distributed to attendees of a "Schoolies Festival" in Adelaide, Australia in 2008. RESULTS: One hundred sixty-five of the 300 postcards were returned completed. The average age of the respondents was 17.7 years. "Not using drugs" was considered important to staying safe and healthy by 120 (73%) of respondents; "drinking alcohol responsibly" was considered important by 89 (54%); and "violent behavior" and "exposure to illicit drugs" were identified as important risks by 135 (82%) and 98 (59%) of participants, respectively. Only 35 (21%) of respondents indicated that they would seek on-site health care if needed. CONCLUSION: Young people attending mass-gathering celebrations have valid concerns about drinking responsibly, exposure to illicit drugs, and sexual harassment. Health messages or health promotion strategies aimed at their specific concerns would be helpful in the mitigation of illness or injury at such events.

Lived-Experience of Women's Well-Being in the Cyclone Shelters of Coastal Bangladesh.

Bangladesh is repeatedly threatened by tropical storms and cyclones, exposing one-third of the total population of the country. As a preparedness measure, several cyclone shelters have been constructed, yet a large proportion of the coastal population, especially women, are unwilling to use them. Existing studies have demonstrated a range of concerns that discourage women from evacuating and have explored the limitations of the shelters, but the experiences of female evacuees have not been apparent in these stories. This study explores the lived-experiences of women in the cyclone shelters of Bangladesh and discusses their health and well-being as evacuees in the shelters. Nineteen women from three extremely vulnerable districts of coastal Bangladesh were interviewed. Seven research themes were identified from the participants' narratives using van Manen's thematic analysis process. The most salient theme, being understood (as a woman), portrayed the quintessential image of these women, which subsequently influenced their vulnerability as evacuees. The next themes-being a woman during crisis, being in a hostile situation, being fearful, being uncertain, being faithful, and being against the odds-focused on the incidents they lived through which affected their physical and mental health and the emotions they felt as evacuees. The paper offers a deep inquiry into women's experiences of well-being in the shelters and recognizes the significance of women's voices to improve their experiences as evacuees.

Lived Experiences of COVID-19 Patients With Pulmonary Involvement: A Hermeneutic Phenomenology.

The aim of this study was to explore the lived experience of COVID-19 patients with pulmonary involvement. The hermeneutic phenomenology was chosen, as this approach can extract the participant experiences as COVID-19 patients. A total of 10 COVID-19 patients with the pulmonary disease were selected as participants after being discharged from the hospital by purposive sampling method until reaching saturation. Data were collected using semi-structured interviews and by using Greatrex-White and van Manen's methods were analyzed. As a result of data analysis, five main themes were emerged: Symptoms of inducing fear, Annoying loneliness, death anxiety, Spirituality healing factor, and Valuable life again. Based on the results of the interviews, the participants' experiences showed that patients infected with COVID-19, after being discharged from the hospital, due to mental and physical problems experienced during hospitalization, need comprehensive attention and care to regain their health during convalescence.

Effect of a tailored multidimensional intervention on the care burden among family caregivers of stroke survivors: a randomised controlled trial.

OBJECTIVES: To evaluate the effectiveness of a tailored multidimensional intervention in reducing the care burden of family caregivers of stroke survivors. This intervention considered caregivers' perceived needs and incorporated three evidence-based dimensions (psychoeducation, skill-building and peer support). DESIGN: A prospective randomised control trial. SETTING: A community-based study conducted in Egypt. PARTICIPANTS: A total of 110 caregivers aged ≥18 years who cared for a survivor within 6 months of stroke, with modified Rankin Scale scores of 3-5, and without other physical disabilities or terminal illnesses were recruited between December 2019 and May 2020. Participants were assigned to the intervention group (IG; n=55) and control group (CG; n=55) through open-label, parallel 1:1 randomisation. INTERVENTION: The IG was provided with tailored multidimensional interventions for 6 months until November 2020, including three home visits, six home-based telephone calls and one peer-support session. The CG received simple educational instructions at a single visit. OUTCOME: The participants completed the Zarit Burden Interview (primary outcome) and the WHO Quality of Life-BREF (secondary outcome) before the intervention (T0), at 3 months (T1) and at 6 months (T2). RESULTS: No differences were observed between the characteristics of the groups at baseline (T0). The independent t-test showed no significant differences in the care burden and Quality of Life (QoL) at T1 and T2 between the groups. The intervention had no significant effect on the outcomes between or within groups over time, as shown by the repeated-measures analysis of variance. However, the group and time interaction had significant main effects on caregivers' QoL (psychological and social domains). CONCLUSION: The main results showed that participants in the IG did not experience an improvement in the main outcomes. Nevertheless, the improvement in the psychological and social domains may have been attributed to our intervention. TRIAL REGISTRATION NUMBER: NCT04211662.

Nurses' Roles in Nursing Disaster Model: A Systematic Scoping Review.

BACKGROUND: Nurses have a continuous presence and crucial role in response to disasters. During disasters, nurses apply specific knowledge and skills to minimize victims' health and life-threatening risks. Nurses' roles in crisis are not clearly stated in resources. Thus, this study aimed to explore nurses' role in the nursing disaster model. METHODS: A scoping review was conducted using Joanna Briggs Institute framework. The review considered primary research and reviewed literature from following databases, including Web of Science, Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed, Scopus, and Google Scholar, as well as the reference lists of articles identified for full-text review. Eligibility criteria were outlined as a priori to guide the literature selection. RESULTS: Eight of 60 eligible articles met the inclusion criteria. The studies were conducted in different countries with no limit of time of published articles. The publications' design were three systematic reviews, one meta-synthesis, two qualitative types of research, one quasi-experimental, and one case study. The results showed nurses' roles in the three stages before, during, and after the crisis. CONCLUSION: This review provided a comprehensive understanding of the concept of the nursing role in the crisis, and nurses could be useful to save victims through preparing and implementing effective care at different stages of a crisis.

A literature review of disaster nursing competencies in Japanese nursing journals.

INTRODUCTION: Competencies is an important concept used for assessing health professionals' capability to perform their role. By means of a literature review of Japanese professional journals this paper will investigate the competencies concept, particularly with relation to disaster nursing. METHODS: The literature research was conducted using the database ichu-shi (ver. 4). All literature is written and published in Japanese and was published between 2001 and 2008. Due to an unfamiliarity of the term 'competencies' in Japanese, the key words were sought while deconstructing the meaning and concepts of 'competencies' into terms more recognisable in the Japanese context. Twelve key words: disaster, capability, education, practice, licensure, ability, function, prevention, response, planning, emergency, and disaster nursing were chosen as being most likely to find literature relevant to the English Language concept of competencies. The searched articles were then written into the disaster nursing competencies review worksheet for analysis. RESULT: One hundred and twenty articles were found by searching a combination of these key words. Of these articles, those that were not in the context of disaster nursing were eliminated. As a result, 43 articles were chosen as being suitable for analysis of the context. These articles are classified into four themes. CONCLUSION: These theme groups indicated a foundation for competencies in disaster nursing. The definition of competencies in Japanese nursing journals was quite varied and cannot be easily defined as common disaster nursing competencies. Given the variety of areas and the distinct phases in disaster nursing, as well as the 'what for' and 'who governs', disaster nursing competencies will need its own discussion in order to establish the common competencies internationally.

Piloting a mass gathering conceptual framework at an Adelaide schoolies festival.

UNLABELLED: During the summer months in Australia, school leavers celebrate their end of school life at schoolies festivals around the nation. These events are typically described as a mass gathering as they are an organised event taking place within a defined space, attended by a large number of people. A project was undertaken to analyse the usefulness of Arbon's (2004) conceptual model of mass gatherings in order to develop a process to better understand the Adelaide Schoolies Festival. METHOD: Arbon's conceptual framework describes the inter-relationship between the psychosocial, environmental and bio-medical domains of a mass gathering. Each domain has set characteristics which help to understand the impact on the mass gathering event. The characteristics within three domains were collected using field work and bio-medical data to examine the relationship between injury and illness rates. RESULTS: Using the conceptual framework to evaluate this schoolies event helped create an understanding of the physiology, environment and behaviour contributing to patient presentations. Results showed that the schoolies crowd was active and energetic, and the main crowd behaviour observed was dancing and socialising with friends. The environmental domain was characterised by a grassy outdoor venue that was bounded and dry. Due to the overall health of the crowd, activities undertaken and the supportive environment, the majority of injuries to schoolies were minor (68%). However, twenty-four percent of schoolies who presented with alcohol related illness were found to have consumed alcohol at risky levels; half of this cohort was transported to hospital. CONCLUSION: The conceptual framework successfully guided a higher level of examination of the mass gathering event. In particular, the framework facilitated a greater understanding of the inter-relationships of the various characteristics of a mass gathering event, in this case the Adelaide Schoolies Festival.

Developing New Information Sheets for Evacuees and Evacuation Centers to be Used During All Natural Disaster Phases.

INTRODUCTION: Evacuees' quality of life can be improved by investigating both their health problems and the conditions of evacuation centers during natural disasters. STUDY OBJECTIVE: This study aims to develop new evacuee and evacuation center information sheets that focus on infection control, oral health and dentures, mental health, and rehabilitation during natural disasters. METHODS: The analysis was conducted with the Delphi method by questioning doctors from various fields (infectious disease, psychiatry, rehabilitation, and dentistry) about the information that may be needed for evacuees and in the evacuation center environment. RESULTS: Two information sheets were created in this study. One is an evacuation center environmental health assessment sheet that includes information about the overview of evacuees' health and the evacuation center environment. The other is an evacuee registration sheet that would be completed by the evacuees themselves. CONCLUSION: The information sheets developed in this study will be useful in times of disaster because they have the potential to improve evacuee health conditions, as well as evacuation center environments.

Effect of a tailored multidimensional intervention on the care burden among family caregivers of stroke survivors: study protocol for a randomised controlled trial.

INTRODUCTION: Caring for stroke survivors creates high levels of care burden among family caregivers. Previous initiatives at alleviating the care burden have been unsuccessful. The proposed study aims to evaluate the effect of a tailored multidimensional intervention on the care burden among family caregivers of stroke survivors. Based on the perceived needs of family caregivers, this intervention takes into account scientific recommendations to combine three different approaches: skill-building, psychoeducation and peer support. METHODS AND ANALYSIS: Using a prospective, randomised, open-label, parallel-group design, 110 family caregivers will be enrolled from Dakahlia Governorate, Egypt between December 2019 and May 2020, and randomly assigned to either the intervention group or the control group. The tailored multidimensional intervention will be administered for 6 months, including three home visits, six home-based telephone calls and one peer support session. The primary outcome is the care burden as measured using the Zarit Burden Interview. Secondary outcomes include changes in the family caregivers' perceived needs (Family Needs Questionnaire-Revised), coping strategies (Brief-Coping Orientation to Problems Experienced) and quality of life (WHO Quality of Life-BREF). Outcomes evaluation will be conducted at baseline (T0), month 3 (T1) and month 6 (T2). Independent t-test will be performed to compare the mean values of study variables between the two groups at both T1 and T2. After adjusting for confounding variables, analysis of covariance will be used to assess the effect of the intervention. In addition, repeated measures analysis of variance will be conducted to assess changes in effect over time. ETHICS AND DISSEMINATION: This study was approved by the Research Ethics Committee of the Faculty of Nursing, Mansoura University, Mansoura, Egypt (P.0195). The results will be published in a scientific peer-reviewed journal, and findings will be disseminated at the local and international levels. TRIAL REGISTRATION NUMBER: NCT04211662.

Volunteer experiences in community housing during the Great Hanshin-Awaji Earthquake, Japan.

The recovery phase of disasters is long term and the victims require intensive support. Experiences in disasters can be traumatic and affect people physically and psychologically. Recovery is not only about the rebuilding of infrastructure in the affected area but also about the rehabilitation of people and the rebuilding of their life. The importance of long-term mental health care after disasters has been emphasized in the literature and the authors' volunteer participation during the Japanese Great Hanshin-Awaji Earthquake in 1995 reinforced its importance. This article reports on the authors' experiences as health professional volunteers caring for dislocated people living in temporary housing after the earthquake, when kodokushi (death alone and, initially, unnoticed) and alcoholism claimed the life of some of these people.

Governing nursing: curriculum as a rhetorical vehicle using South Australian nursing schools from the 1950s onwards as an illustrative case.

This paper explores how governance processes for nursing curriculum in South Australia changed since the 1950s. The strategy used to undertake this analysis is through discourse analysis of nursing curriculum from the 1950s to recent times. An archive of curriculum data were collected from educational curriculum documents, historical records and government reports. Analysis of this textual data found changes in how curriculum governance occurred as this was increasingly transferred to the discipline of nursing throughout the period explored in this research. Curricula were found to be a rhetorical vehicle, carrying the beliefs and hopes of the nurse educators in their contents. Changes in the focus of the curricula also replicated changes in the locations and maturing of nursing in the higher education sector. Schools of nursing in universities in responding to both internal and external forces were made increasingly responsible as to curriculum content and structures. Historical analysis of South Australian nursing curricula shows changes common in Australia as it moved nurse education from hospital to the tertiary sector in the latter part of the twentieth century, to its contemporary shape as collaboration between profession, industry and discipline to produce nurses for the Australian workforce.